Individual
TIFFANY CHARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
751 NE BLAKELY DR STE 2030, ISSAQUAH, WA 98029-6201
(425) 313-4141
(425) 313-4140
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60210607
WA
176B00000X
Midwife
AP61375849
WA
367A00000X
Advanced Practice Midwife
Primary
AP61375849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2249660
—
WA
Enumeration date
01/30/2023
Last updated
09/27/2023
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